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KMID : 1235520230220020023
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Research in Vestibular Science
2023 Volume.22 No. 2 p.23 ~ p.33
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Light Cupula: Recent Updates
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Lee Dong-Han
Kim Chang-Hee
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Abstract
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Benign paroxysmal positional vertigo (BPPV) is the most common cause of positional vertigo and nystagmus. Direction-changing positional nystagmus (DCPN), which refers to the change in the direction of nystagmus with different head positions, is a well-known characteristic of horizontal semicircular canal BPPV.
The supine head roll test is commonly used to diagnose horizontal canal BPPV.
However, persistent geotropic DCPN observed during this test cannot be explained by conventional mechanisms of canalolithiasis or cupulolithiasis. The concept of a “light cupula” has been proposed to account for this unique nystagmus. In this review, we summarize the historical background, clinical features and diagnostic methods, presumed mechanisms, and treatment approaches of the light cupula phenomenon based on the available literatures up to date.
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KEYWORD
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Dizziness, Positional vertigo, Semicircular canal, Nystagmus, Light cupula
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